Organization Active NPI

Labyrinth Audiology

  • Audiologist
  • Boca Raton, FL
National Provider Identifier
1073761508
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY953 Issued in FL
Legal business name
LABYRINTH AUDIOLOGY
Practice address
1500 NW 10TH Ave
Suite 104
Boca Raton, FL 33486
Phone
(561) 807-7873
Fax
(561) 807-7947
NPI assigned
Sep 9, 2008
Last updated
Nov 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ali A Danesh, PH.D.
Title
Audiologist
Phone
(561) 807-7873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY953 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave
Suite 104
Boca Raton, FL 33486

Mailing address

1000 NW 9TH CT Ste 203
Daniel Medical Centre
Boca Raton, FL 33486-2268
Phone (561) 807-7873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091001000258 FL Part B Supplier - Clinic/Group Practice 7315083524 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1500 NW 10th Ave
Ste 104
Boca Raton, FL 33486
Phone (561) 392-4415

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1073761508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT STE 203",
            "address_2": "DANIEL MEDICAL CENTRE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-807-7873",
            "fax_number": "561-807-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-807-7873",
            "fax_number": "561-807-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABYRINTH AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "DANESH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "561-807-7873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.